Organization Name: | AFFINITY HOME MEDICAL INC. |
NPI Number: | 1598009821 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN CHRISTOPHER O'GWYNN (PRESIDENT) |
Mailing Address: | 21862 State Highway 59 S Suite G Robertsdale |
State: | AL US |
Postal Code: | 365676711 |
Phone Number: | 2519472002 |
Fax Number: | 2519473503 |
NPI Enumeration Date: | 11/27/2012 |
NPI Last Update Date: | 11/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 2013-008888 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |